14-00000

104- 10110- 10298.

:"| 2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF wit Y
. ne “Ss. + VR VAGR: 7 Mee 7 _* : ING:
DATE

NOTIFICATION OF ESTABLISHMENT Oe CANCELLATI ( T aa
OF OFFICIAL COVER BACKSTOP |” si 25 mB 77

$s KUMBE

06°24-313fyeTyRAUTO Cl. o

Jeasic ‘cover’ PROVIDED ; -

EFFECTIVE DATE “SUBMIT FORM 3254."
wm , (HHB 20-7)

OPERATIONAL COVER “PROVIDED . .

FoR —____ TDy____ OTHER (Specify)

SUBMIT FORM 642 IMMEDIATELY TO CHANGE JELEPHONE

LIMITATION CATEGORY TO CATEGORY__ EAA: CATEGORY 1 TI CATEGOR
o- 7 —_—
caap 20°79 : RETURN ALL OFFICIAL DOCUMENTATION TO-CCS~

SUBMIT FORM 3254f cer W-2 TO BE ISSUED. SUBMIT FORM 2688 FOR
(8HB 20-11) — at - HOSPITALIZATION CARD.

SUBMIT FORM 1322 FOR ANY CHANGE AFFECTING THIS
COVER. (HR 240-2e)

SUBMIT "FORM 1323 FOR TRANSFERRING COVER
RESPONSIBILITY. CHR 240-2¢)

|, lean. CATEGORY | a | CATEGORY I1

SUBMIT FORM 2688 FOR_AGP HOSPITALIZATION CARD
REMARKS AND/OR COVER HISTORY
27 Auo Sl-Aug 62-Fas-Overt
Aug 62-Jul 67-Eqs-{2ac) Vi
Jul 67-19 Aug 72-Mexi State-womina\
1 Sep 72-27 Jun 74-Hqs-Ca ah
22 Jun 74-10 Nov 76<Trinidad-s Ptate-Int \I(.2I
11 Fov 76-26 Feb 77-Bgs(State-Int aN
27 Feb 77-.. . ~Hgs{State- Nomina 40


